FDA Adverse Event Malfunction Summary report: N

PORTEX EPIFUSE EPIDURAL CATHETER CONNECTOR

MDR report key: 24999746 · Received April 27, 2026

Report

Report Number
3012307300-2026-04204
Event Type
Malfunction
Date Received
April 27, 2026
Date of Event
April 1, 2026
Report Date
April 27, 2026
Manufacturer
ICU MEDICAL, INC.
Product Code
CAZ
UDI-DI
10351688076083
PMA / PMN Number
K092657
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

B3: UNKNOWN; NO INFORMATION HAS BEEN PROVIDED TO DATE. D4 - LOT #: PROVIDED LOT # 6091752 BUT COULD NOT BE LOCATED IN ORACLE H3: INVESTIGATION INCLUDING ROOT CAUSE ANALYSIS IS IN PROGRESS. A SUPPLEMENTAL MDR WILL BE FILLED AS NECESSARY IN ACCORDANCE WITH 21 CFR 803.56 WHEN ADDITIONAL REPORTABLE INFORMATION BECOMES AVAILABLE.

Description of Event or Problem · 0

IT WAS REPORTED THAT AFTER PLACEMENT THEY COULD NOT BE ABLE TO INJECT THE TEST DOSE VIA THE EPIDURAL CATHETER. THREE ATTEMPTS WITH HIGH PRESSURE WERE UNSUCCESSFUL (2ML AND 5ML SYRINGE). THE CHANGE OF THE CONNECTING DEVICE WASN¿T SUCCESSFUL EITHER. THE CATHETER WAS THEREFORE REMOVED, AND A NEW MEDLINE CSE KIT WAS USED MAKING SURE THAT THE CATHETER IS PATENT BEFORE PLACEMENT. THE CUSTOMER WAS UNABLE TO FULLY INSERT THE CATHETER INTO THE CATHETER CONNECTOR. THERE WAS UNKNOWN REPORTED PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
46744 PORTEX EPIFUSE EPIDURAL CATHETER CONNECTOR ANESTHESIA CONDUCTION KIT CAZ ICU MEDICAL, INC. 6091752 10351688076083

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown